Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME33160 | FL |
NPI | 1013918556 |
---|---|
Provider Name | Dr. Wayne Brett Schonfeld |
First Address | Hollywood, FL 33021-3420 |
Second Address | Hollywood, FL 33021-3420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 16/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039873000 | (05) | FL |
D63483 | (02) | FL |